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Leflunomide fever ulcers — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsLeflunomide fever ulcersGPhC CRA

A woman taking leflunomide has fever, sore throat and mouth ulcers before a repeat supply. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Withhold supply and arrange urgent clinical advice

This scenario assesses Leflunomide fever ulcers in a UK pharmacy practice context. Leflunomide can cause blood disorders and immunosuppression with infection symptoms. The best answer is Withhold supply and arrange urgent clinical advice because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

Reference: https://www.pharmacyregulation.org/registration-assessment#stage-8-order-68